Individual
DERRY HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 WOODLANE RD, SUITE 41, WESTAMPTON, NJ 08060-3804
(609) 702-0625
(609) 702-0491
Mailing address
102 DEVON RD, CINNAMINSON, NJ 08077-3812
(609) 502-6193
(609) 702-0491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01304100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC01304100
LICENSED CLINICAL SW
NJ
Enumeration date
06/07/2007
Last updated
10/25/2013
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